Confidentiality and record keeping.

Fisher, Mary Alice

doi:10.1037/13271-013

Cited by 5 publications

(3 citation statements)

References 76 publications

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“…In other states, the strength of the privilege may vary and not offer as much protection (Bennett et al, 2006). This is often the case with child custody cases (Fisher, 2012).…”

Section: Privileged Communicationmentioning

confidence: 99%

“…If patients waive the privilege, psychologists are obligated to testify on the confidential material (Koocher & Keith-Spiegel, 2008). In those statutes in which the psychologist-patient privilege is based on or is the same as the attorney-client privilege (as it is in 13 states), then the privilege is robust and offers strong protections (Fisher, 2012). In other states, the strength of the privilege may vary and not offer as much protection (Bennett et al, 2006).…”

Section: Privileged Communicationmentioning

confidence: 99%

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Legal and statutory regulations.

DeMers¹,

Siegel²

APA Handbook of Clinical Psychology: Education and Profession (Vol. 5).

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The practice of professional psychology is governed by numerous legal and statutory regulations beyond the licensing act that recognize psychology as a regulated profession (see Chapter 7, this volume). In the arena of regulatory law, a licensing act creates a board of psychology and bestows on that board the authority to grant licenses to qualified individuals, to adjudicate complaints against licensed psychologists, and to adopt other rules that will protect the health, welfare, and safety of the general public related to the practice of psychology. The psychology regulatory board then creates and adopts rules that are designed to implement the responsibilities authorized by the law. In addition, legislatures may pass other laws or statutes (e.g., duty to warn) that create responsibilities for licensed psychologists that the psychology board must monitor.In this chapter, we focus on several important rules, regulations, and related statutes as well as five legal concepts related to mental health and clinical psychology, namely, informed consent, confidentiality, privacy, duty to warn, and privileged communication. Most licensed psychologists are familiar with, or recognize, these terms; however and unfortunately, some practitioners may not grasp the underlying legal principles or clinical applications. This dearth of understanding can result in an unintentional violation of these rules and standards of care in professional practice. BRIEF HISTORYChapter 7 of this volume describes the creation of the early licensing laws recognizing the independent

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“…In other states, the strength of the privilege may vary and not offer as much protection (Bennett et al, 2006). This is often the case with child custody cases (Fisher, 2012).…”

Section: Privileged Communicationmentioning

confidence: 99%

Section: Privileged Communicationmentioning

confidence: 99%

Legal and statutory regulations.

DeMers¹,

Siegel²

APA Handbook of Clinical Psychology: Education and Profession (Vol. 5).

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show abstract

“…It is the hallmark of the relationship between the mental health professional and the client, and many describe the protection of clients' private information as the practitioner's most important professional duty (M. A. Fisher, 2008Fisher, , 2012Younggren & Harris, 2008).…”

Section: Standardsmentioning

confidence: 99%

Ethical clinical practice: Negotiating a whole lot of gray in a wise way.

Sonne¹,

Weniger²

APA Handbook of Psychopathology: Psychopathology: Understanding, Assessing, and Treating Adult Mental Disorders (Vol. 1).

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The Treating Psychiatrist and Worker's Compensation Reporting

Dike

2013

AMA Journal of Ethics

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Stanley Crumb was a train conductor. Starting long before sunrise, he took passengers from distant suburbs into a bustling downtown. One morning, on his first run of the day, he saw a figure flash before the train. He pulled on the brakes, but it was too late. The train had killed a young woman. Mr. Crumb later learned that the woman had been severely depressed and had left a suicide note, but he could not help blaming himself.Mr. Crumb was shattered by the event. Several weeks after the incident, he still could not sleep because of horrible nightmares. He kept having flashbacks, and in a disturbing variation he imagined jumping in front of a train himself. At the urging of his wife and his supervisor, he went to the employee assistance program and was referred for evaluation for psychiatric hospitalization. It was determined that Mr. Crumb needed to be hospitalized.Dr. Young was his psychiatrist at the hospital. She diagnosed Mr. Crumb with posttraumatic stress disorder (PTSD). She started him on medication for depression and nightmares and on cognitive behavioral trauma therapy. After discharge, Mr. Crumb continued to see Dr. Young on a weekly basis.Mr. Crumb was benefitting from psychiatric care, but it became clear to Dr. Young that PTSD was not his only problem. Mr. Crumb had a strong family history of mental illness, and several episodes in his past suggested to her that Mr. Crumb might have bipolar disorder. Dr. Young encouraged Mr. Crumb to continue treatment to better understand the nature of his illness.One afternoon, Mr. Crumb arrived at her office in great distress. His insurance company was challenging the necessity of his continuing with therapy through his worker's compensation. Worse still, they were disputing payment of Mr. Crumb's hospitalization. Mr. Crumb hired an attorney and asked Dr. Young to provide a written statement about his current mental state and need for hospitalization.A few days after submitting her statement, Dr. Young received a call from Mr. Crumb's lawyer. He asked her to remove certain sections of the written statement. Specifically, he wanted her to redact the section about her suspicions of preexisting bipolar disorder. It would destroy Mr. Crumb's chances of getting compensation, the lawyer warned.

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Confidentiality and record keeping.

Cited by 5 publications

References 76 publications

Legal and statutory regulations.

Legal and statutory regulations.

Ethical clinical practice: Negotiating a whole lot of gray in a wise way.

The Treating Psychiatrist and Worker's Compensation Reporting

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